PARKWAY 百汇医疗 A midlife crisis can hit us in our middle-years, typically when we are in our 40s and 50s. It is that phase in life when work security gets established, family life is stable and there’s a yearning for something different. It is also during this period in our lives that the body begins to feel the strains of our yesteryears, and our joints begin to ache. Look out for arthritis One of the most common causes of joint pain is arthritis. There are 2 major forms of arthritis, inflammatory arthritis and osteoarthritis. Osteoarthritis, the load-related wear-and-tear of the body’s joints, is more common and usually begins after age 40. The disease affects 35% of adults aged 65 and older and is the leading cause of mobility disabilities such as difficulty walking or climbing the stairs. The first sign of arthritis in the knee is usually pain. This is most commonly felt at the front of the knee with when climbing stairs or kneeling. As the condition progresses, even walking on flat ground can get affected. Associated symptoms include knee swelling, progressive stiffness or crookedness of the knees. Eventually, the ability to walk or stand for prolonged periods of time gets compromised. Preventing osteoarthritis The right approach to prevent or slow down the progression of knee arthritis is in achieving the Right Weight, engaging in the Right Activities and seeking the Right Treatment. Achieving the Right Weight means avoiding being overweight. The less weight your knees have to bear, the less wear-and-tear they will have. Engaging in the Right Activities mean avoiding activities that may stress your knees. As much as possible, avoid squatting, kneeling and stair climbing. At the same time, one should maintain a healthy level of exercise and fitness. Seeking the Right Treatment means seeing a doctor early when you start to encounter knee pain. Small problems treated early, and properly, have a better chance of being cured than if managed later. Treatment for arthritis When you see a doctor for knee arthritis, he or she will have 3 main avenues for treating you – medication, therapy or surgery. Medication Medicines for arthritis can be ingested, applied topically or injected into the knee. Ingestible medicines include painkillers that reduce pain but do not slow down wear and tear. Supplements like glucosamine have been shown to slow down the progression of knee arthritis. Injectable medicines could be in the form of steroids for reducing pain and swelling, or joint lubricants that can reduce pain for up to 9 months. Therapy Therapy is sometimes needed to help patients regain knee mobility and strength. These two treatments, together with wearing knee guards for additional support, can reduce knee pain from arthritis. Surgery The most daunting prospect for a patient with knee arthritis is surgery. However, the right type of surgery, done at the right time by an orthopedic specialist, has proven to be effective with very high rates of success. Types of surgery can range from minimally invasive arthroscopy and cartilage transplantation to knee replacement. Arthroscopy is a day surgery procedure and suitable for patients with mild arthritis. Recovery is quick, with most patients able to walk comfortably the next day. Some younger patients with more advanced arthritis can benefit from cartilage restoration procedures. There are various methods for restoring cartilage in the knee, ranging from arthroscopic procedures where the exposed bone is punctured to encourage new cartilage growth (microfracture), cartilage transplantation from new cartilage grown from the patient’s own cartilage (autologous cartilage transplantation), to grafting cartilage and bone from one part of the knee to another (osteochondral grafting). The choice of procedure and the success rate depends on an individual patient’s unique knee condition. Knee replacement surgery is reserved for patients with advanced arthritis. The procedure has come a long way since its introduction 50 years ago. Today, knee replacement patients are usually able to be up walking 3 days after surgery. With the advancements in surgery techniques, the incisions are small and recovery is rapid. These developments also mean that knee replacement surgery now includes partial instead of total replacement, as well as more accurate surgery with custom designed instruments and computer guided surgery. FAQs: Knee Arthritis Does my diet have anything to do with arthritis in my knee? Some patients with gout need to avoid certain foods, but the majority of patients actually do not have gout and do not need to follow a specific diet. What supplements help prevent knee arthritis? Studies have shown that oral glucosamine can delay the progression of knee arthritis, but it has not been shown to prevent knee arthritis in people who do not have the condition. Article reviewed by Dr. David Jiang,Orthopedics & Sports Medicine Surgeon. 
Head of Orthopedic Sports Medicine
Dr. Samson Cho has 20 years of clinical experience, specialized in sports injuries and arthroscopic surgeries. He emphasizes the importance of tailor-made treatment plan according to the individual's sports, working, daily activities and time schedule, starting from conservative approach until the real necessity to surgery. He is experienced in conservative treatment such as prolotherapy, rehab strategy and arthroscopic surgeries for shoulder, elbow, knee and ankle joints. He is leading a team of multi-specialties including surgeons, physiotherapists, chiropractors, etc. to provide comprehensive customized medical service to all individuals’ needs.
Administrative Deputy Director of Orthopedics Sports Medicine
Dr. David Jiang has an MD degree from the Shanghai Jiao Tong University school of Medicine in China, long term served in Orthopedic department of Ruijin Hospital as resident, attending doctor and associated professor. He completed further training at the Fuji Toranomon Orthopedic Hospital in Japan, and has been a visiting scholar at upstate medical university of New York. Dr. Jiang has over 25 years of clinical experience in the diagnosis and treatment of bone, joint, and muscular problems, sports injury etc., including arthroscopic surgery of the knee, shoulder, ankle injury such as cross ligament reconstruction, meniscectomy & repairing, rotator cuff repairing and cartilage injury of joints; four limb’s fracture with open reduction & implant fixation. Meanwhile he also has extensive experience with ankle and hand disorders, such as ankle ligament reconstruction, Hallux valgus deformity correction, Achilles tendonopathy, carpal tunnel syndrome treatment with operation etc. In addition, Dr. Jiang specializes in joint and spine pain management, using lumbar epidural injection, spinal facet joint injection. He serves as a lecturer for national continuing education classes of Orthopedic and Rehabilitation Medicine.
Chief Physician
Dr. Hongyun Li is specialized in diagnosis and minimally invasive treatment of knee, shoulder, hip, ankle and other major joint diseases, sports injuries, muscle, tendon, ligament injuries, These include shoulder rotator cuff injury, frozen shoulder, shoulder instability, glenolabial injury, acromioclavicular dislocation, elbow adhesion, hip glenolabial injury, femorhip impingement, anterior and posterior cruciate ligament injury of knee, meniscus injury, recurrent dislocation of patella, medial collateral ligament injury, Achilles tendon injury, lateral collateral ligament injury of ankle, inferior tibiofibular tendon injury, posterior tibial tendon injury, peroneus muscle injury Arthroscopic and minimally invasive surgical treatment of tendon subluxation, accessory scaphoid injury, tarsal sinus syndrome and other diseases.
Orthopedist
Dr. Sun Qing is an accomplished orthopedic specialist with over ten years of clinical experience, specializing in the treatment of joint diseases (knee, shoulder, hip, elbow) and rheumatic conditions such as rheumatoid arthritis, ankylosing spondylitis, gout, and osteoporosis. He is adept at diagnosing and managing common joint and sports injuries through both conservative and surgical treatments, as well as treating conditions like cervical spondylosis, lumbar disc herniation, lumbar spinal stenosis, scoliosis, bursitis, tenosvnovitis, and tendinitis. Dr. Sun is also focused on the application of new orthopedic technoloqies, such as regenerative medicine, Platelet-Rich Plasma (PRP) injections, and ultrasound-guided minimally invasive pain management techniques.
Chief Physician of Plastic and Hand Surgery, Chief Physician at Gleneagles Medical and Surgical Center, Chief of Aesthetic Medicine Center
Dr. David Shen is Chief Physician of Plastic and Hand Surgery, Chief Physician at Gleneagles Medical and Surgical Center, Chief of Aesthetic Medicine Center with over 30 years working experience. He specializes in excision of both benign and malignant skin lumps in all body parts and subsequent reconstruction and repair, aesthetic and reconstructive procedures in face including eye and nose and lip, breast, abdominal wall and perineum, liposuction for body contouring, facial rejuvenation with a variety of injection, laser, radiofrequency, ultrasound devices and techniques, and Ear piercing, treatment of ear hole infection and deformity.
Diagnosis and treatment of hand pain and numbness, tendon and nerve injuries as well as hand and wrist fractures after traumatic injuries, Diagnosis and treatment of nerve compression syndromes such as carpal tunnel syndrome, cubital tunnel syndrome, microsurgical repair of peripheral nerve injury, treatment of difficult wounds, scar treatment with laser, injection and revision.
Treatment of ingrown toenail, axillary or palmar hyperhidrosis or axillary apocrine bromhidrosis, hand and finger contractures (Dupuytren’s disease)
Dr. Shen graduated from Fudan University Shanghai Medical College (China) and from Medizinische Hochschule Hannover (Germany). He completed his residency at the Department of Plastic, Hand and Reconstructive Surgery, Burn Center in Hannover (Germany). Dr. David Shen served as Professor and Director at the Department of Plastic, Hand and Aesthetic Surgery, in Shanghai First People's Hospital affiliated to Shanghai Jiao Tong University (China).
Orthopedist
Dr. Anqia Wang is a senior orthopedist with nearly 20 years of clinical experience，who is a strong advocate of patient-centered treatment. He specializes in repair surgeries for trauma, arthroscope surgeries for sports injury and nerve decompression surgeries. Dr. Wang is also excellent at pain management for arthritis and spine problems.
Dr. Wang graduated from medical college of Fudan University. He studied at Tullen Hospital of Austria as a visiting scholar. He was head of Medical Affair Officer and chief doctor of Operation Center of two large general hospitals. He is the editor-in-chief of “Key Points and Skill of Orthopedic Surgery”. In addition, he was health care doctor for Shanghai Marathon, Shanghai Slalom Open and The 9th Global Conference on Health Promotion.
Chief Physician
Dr. Zhang Hailong is specialized in minimally invasive surgical treatment and conservative treatment of various common and difficult spinal diseases, especially the minimally invasive treatment of cervical spondylosis, lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, degenerative scoliosis. He has extensive experience in interventional treatment of lumbar discborne low back pain and minimally invasive treatment of osteoporosis and compression fractures.
